Form Np - 101.15 - Statement Of Correction Under The General Not For Profit Corporation Act
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2File #
NP - 101.15
JESSE WHITE
(Rev. Jan. 1999)
Secretary of State
This space for use by
State of Illinois
Secretary of State
Submit in Duplicate
STATEMENT OF CORRECTION
Date
Remit payment in check or
under the
money order, payable to “Sec-
GENERAL NOT FOR PROFIT
Filing Fee
$ 25
retary of State."
CORPORATION ACT
Approved
Pursuant to the provisions of “The General Not For Profit Corporation Act of 1986”, the undersigned
corporation hereby submits the following application.
1.
The name of the corporation is
__________________________________________________
____________________________________________________________________________
2.
The State or Country of incorporation is ____________________________________________
3.
The title of the instrument to be corrected is _________________________________________
____________________________________________________________________________
4.
The instrument to be corrected was filed by the Secretary of State on ____________ ________
(Month & Day)
(Year)
5.
It was inaccurate, erroneous or defective in the following:
If not sufficient space to cover this point, add one or more sheets of this size.
6.
The corrected portion(s) of the above instrument, in corrected form, are as follows:
If not sufficient space to cover this point, use reverse side or add one or more sheets of this size.
The undersigned corporation has caused this statement to be signed by its duly authorized officers,
each of whom affirm, under penalties of perjury, that the facts stated herein are true. (All signatures must
be in BLACK INK.)
Dated ___________________________ , ________
____________________________________
(Month & Day)
(Year)
(Exact name of corporation)
attested by _________________________________ by __________________________________
(Signature of Secretary or Assistant Secretary)
(Signature of President or Vice President)
__________________________________________
by __________________________________
(Type or print name and title)
(Type or print name and title)
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